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Dec 13 05 08: 52a City of StocktonPW-Permit (209) 937-8901 P. 3 <br /> Date: <br /> James B. Giottonini, Public Works Director <br /> City of Stockton <br /> Public Works Department <br /> 425 N. EI Dorado Street <br /> Stockton, CA 95202 <br /> REVOCABLE PERMIT APPLICATION FOR GROUNDWATER MONITORING WELLS: <br /> I/we do hereby request that this letter serve as an application for a revocable permit for the <br /> following: <br /> Use and maintain Groundwater Monitoring Well(s) in the City's right-of-way at <br /> the address listed below and as shown on the attached drawing: <br /> The undersigned has received a copy of and fully understands the Standard Conditions <br /> governing the issuance of a Revocable Permit for a Groundwater Monitoring Well(s). <br /> r <br /> (Applica Signature) <br /> Business owner/Property owner <br /> (Please specify) <br /> (Print Name) <br /> S <br /> (Company Name) <br /> (Address) u- ho c-°`" .'� A c"5 <br /> (Phone number) - <br /> ::ODMA\GRPW ISE\COS.PW_library:70370.t <br /> (8/18105) � <br /> tl <br /> 1; <br /> 3 ) <br />